Abstract
Abstract
Background:
Prior studies show that having a robust pharmacy-driven medication history program in a hospital setting, improves the quality of admission medication history interviews and reduces medication errors and adverse drug events. Yet, medication history data is tenuous and not always accurate or workable. There is a paucity of studies that compare how different data sources impact clinical workflow.
Methods:
We ran a retrospective, observational analysis following the implementation of a new medication history data source, in a busy urban hospital setting. The medication history workflow was optimized over a period of 8 years prior to this intervention, and there was little change in process between the two study periods.
Results:
Utilizing a data source that had 9.0% more prescription data, a user interface that displayed medication history in a simpler and more accurate manner, and a worksheet with all of the updated data, at the beginning of the medication history interview: staff productivity increased by 14.0%, total medication errors decreased by 23.0%, and medication errors that reached the patient decreased by 26.0%.
Conclusions
Having more complete data in the admission medication history interview can greatly improve productivity and reduce downstream medication errors that may cause adverse drug events.
Publisher
Research Square Platform LLC
Reference25 articles.
1. Commission TJ. National Patient Safety Goals® Effective January 2021 for the Behavioral Health Care and Human Services Program [Internet]. 2021. Available from: https://www.jointcommission.org/-/media/tjc/documents/standards/national-patient-safety-goals/2021/npsg_chapter_bhc_jan2021.pdf.
2. Potential benefit of electronic pharmacy claims data to prevent medication history errors and resultant inpatient order errors;Pevnick JM;J Am Med Informatics Assoc,2016
3. Medication reconciliation process: Assessing value, adoption, and the potential of information technology from pharmacists’ perspective;Al Anazi A;Health Informatics J,2021
4. Najafzadeh M, Schnipper JL, Shrank WH, Kymes S, Brennan TA, Choudhry NK. Economic Value of Pharmacist-Led Medication. 2016;(October).
5. Classifying and predicting errors of inpatient medication reconciliation;Pippins JR;J Gen Intern Med,2008